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Community Porch Light

NPI Registration Record

Provider / OrganizationNPIDate Certified
COMMUNITY PORCH LIGHT11246459992020-06-28
Entity TypeOrganization
Provider OrganizationCOMMUNITY PORCH LIGHT
Practice Office Address6263 W TWAIN AVE
LAS VEGAS, NV US
Practice Office Telephone4434499034
Mailing Address6263 W TWAIN AVE
LAS VEGAS, NV 891031153 US
Business Telephone4434499034
Authorized OfficialLORI CAMPBELL, PRESIDENT
4434499034
HPT Codes
CodeLicense NoState
251B00000X
1041C0700X PRIMARY
193200000X MULTGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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